Permit CITY OF TIGARD SEWER CONNECTION PERMIT
1111
_ . COMMUNITY DEVELOPMENT Permit#: SWR2022-00130
Date Issued: 12/1/2022
T t CART) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S107AD05200
Jurisdiction: Tigard
Site address: 16815 SW COLORADO LN
Project: South River Terrace,Tract H, Building 2,Unit 2 Subdivision: SOUTH RIVER TERRACE Lot: H
Project Description: Sewer Connection for new attached dwelling(2 of 3)units,each with sperate sewer permits.
Contractor: Owner: TAYLOR MORRISON NORTHWEST LLC
703 BROADWAY ST STE 510
VANCOUVER,WA 98660
PHONE: PHONE:
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 12/01/2022 $6,625.00
Sewer Inspection-Residential 12/01/2022 $35.00
Type of Use: SFA
Class of Work: NEW
Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units: 1
Total $6,660.00
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: ./ ( Permittee Signature: _. • .
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Plumbing Permit Application
Building Fixtures RECEIVE
City of Tigard ReceivedDate/By: I D 1 aa- L Perma No.: N14(-aa,1-J ;;1.0
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
' Phone: 503.718.2439 Fax: 503.598.19600 C T 1 2 2022 Date/By: I ii i 14/a2 46.67 Other Permit No.:
Inspection Line: 503.639.4175 Date Ready/By: suns: 61 See Page 2 for
IC:;1 RL7 adY BY 8
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information
TYPE OF WORWUILUINU DIVISION' FEE* SCHEDULE
a New construction 0 Demolition For special information use checklist.
Description I Qty. I Ea. 1 Total
❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
Q 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
❑Accessory building 0 Multi-family SFR(3)bath 500.32
Each additional bath/kitchen 25.02
❑Master builder 0 Other:
Fire sprinkler CI 625q.ft.) 1 Page 2 121.9C
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 16815 S W Colorado LN Catch basin or area drain 18.76
Drywell,leach line,or trench.drain 18.76
City/State/ZIP: Tigard, OR Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: Bld 2 I Project name: South River Terrace Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.:_) Page 2
Storm sewer(no.linear ft.:) Page 2
Water service(no.linear ft.:) Page 2
Subdivision: South River Terrace I Lotno.:2-#2 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes
Permit - MST2022-00320 e 25.02
Dishwasherher 25.02
Multi-Purpose Fire Sprinklers Drinking fountain 25.02
Ejectors/sump 25.02
U PROPERTY OWNER I ❑ TENANT Expansion tank 12.51
Name: Taylor Morrison Fxture/aewereap 25.02
703 Broadway St unit 510 Floor drain/floor sinichub 25.02
Address: Garbage disposal 25.02
City/State/ZIP: Vancouver, WA 98660 Hose bib 25.02
Phone:(360) 695-7700 Fax:( ) Ice maker 12.51
5t APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name: Wolcott Plumbing Medical gas(value:$_) Page 2
Primer 12.51
Contact name: Cliff Bowman Roof drain(commercial) 12.51
Address:1075 W Historic Columbia River Hwy Sink/basin/lavatory 25.02
City/State/ZIP:Troutdale, OR 97060 Solar units(potable water) 62.54
Phone:(503.667-1781 ext. 3081 Fax: :(503-667-9891 Tub/shower/shower pan 12.51
E-mail: cliffb@wolcott.pro Urinal 25.02
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name:Wolcott Plumbing Water piping/DWV 56.29
Address: 1075 W Historic Columbia River Hwy Other: 25.02
City/State/ZIP:Troutdale, OR 97060 Subtotal 121.90
503)667-1781 ext.3081 503)-667-9891 Minimum permit fee: $72.50
Phone:( Fax:
Plan review (25%of permit fee) 30.48
CCB Lie.: 112220 Plumbing Lic.no.: 26-824PB
Cl //_ State surcharge(12%of permit fee) 14.63
Authorized signature: CTT l 45t9Gil>< 1.44L TOTAL PERMIT FEE 167.01
Print name:CI Iff Bow Date: 10/10/22 This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
1:1BuildinglPar its\PLMO-PermitApp.doc 10/01/09 440-4616T(10/02/COM/NEB)